Organization Name: | RHODE ISLAND SUBSTANCE ABUSE TREATMENT, INC. |
NPI Number: | 1053319368 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER MORRIS (VICE PRESIDENT OF FINANCE) |
Mailing Address: | 1625 Diamond Hill Rd Woonsocket |
State: | RI US |
Postal Code: | 028951541 |
Phone Number: | 4017621511 |
Fax Number: | 4017621609 |
NPI Enumeration Date: | 07/11/2005 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 608.2 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |